| NPI | 1679183214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4182) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 22797) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2024-01-08 |